<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

<!--付款单位-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Danwei')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-danwei" class="form-control" name="row[danwei]" type="text" value="">
        </div>
    </div>
<!--车号-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Chehao')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-chehao" class="form-control" name="row[chehao]" type="text" value="">
        </div>
    </div>
<!--缴费人员-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Driver')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-driver" class="form-control" name="row[driver]" type="text" value="">
        </div>
    </div>
<!--项目-->
    <div class="form-group  required  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leixing')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leixing" data-rule="required" class="form-control" name="row[leixing]" type="text" value="">
        </div>
    </div>
<!--收款方式-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sktype')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sktype" class="form-control" name="row[sktype]" type="text" value="">
        </div>
    </div>
<!--收入(人民币)-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shouru')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shouru" class="form-control" step="0.01" name="row[shouru]" type="number" value="0.00">
        </div>
    </div>
<!---->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shourudetail')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-shourudetail" class="form-control " rows="5" name="row[shourudetail]" cols="50"></textarea>
        </div>
    </div>
<!--支出-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zhichu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zhichu" class="form-control" step="0.01" name="row[zhichu]" type="number" value="0.00">
        </div>
    </div>
<!---->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zhichudetail')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-zhichudetail" class="form-control " rows="5" name="row[zhichudetail]" cols="50"></textarea>
        </div>
    </div>
<!--结余-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Jieyu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jieyu" class="form-control" step="0.01" name="row[jieyu]" type="number" value="0.00">
        </div>
    </div>
<!--收款时间-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sktime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sktime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[sktime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
<!--备注-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Beizhu')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-beizhu" class="form-control" name="row[beizhu]" type="text" value="">
        </div>
    </div>
<!--收费人-->
    <div class="form-group  col-sm-6">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shoufeiyuan')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shoufeiyuan" class="form-control" name="row[shoufeiyuan]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
